Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Vivian Juanita McCollum, PHD, LPC

Individual provider Professional Counselor · NPI 1790972412

Dr. Vivian Juanita McCollum, PHD, LPC is a Professional Counselor in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Georgia and Missouri.

Licensed in
GA, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1136 Washington Ave Unit 809
Saint Louis, MO 63101-1174
Phone: (404) 536-7586
Fax: (314) 727-6067
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Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2015032865 (MO)
Professional Counselor Taxonomy 101YP2500X · Licence LPC004750 (GA)

Record details

NPI number1790972412
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LPC
Sole proprietorYes
NPI enumeratedSeptember 26, 2007
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024

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